Description
Avanos MIC-KEY Low-Profile Gastric-Jejunal (GJ) Feeding Tube kits provide skin-level enteral access for patients requiring post-pyloric feeding with simultaneous gastric decompression or venting. The device is placed through a gastric stoma with the distal limb positioned in the jejunum, offering discreet, low-profile comfort for pediatric and adult patients.
Design and retention
- Low-profile “button” with external bolster and an internal inflatable balloon for retention.
- Three clearly labeled access points: JEJUNAL (feeding), GASTRIC (decompression/venting), and BAL (balloon inflation/deflation).
- One-way valves in the JEJUNAL and GASTRIC ports that open when a MIC-KEY extension set is attached.
- No dedicated medication port; medications are administered via the jejunal or gastric port per clinical direction.
Connectivity and kit components
- Enteral-only connectivity options: ENFit or legacy Catheter Tip (varies by model).
- Kits include matching MIC-KEY extension sets; ENFit kits include ENFit extension sets.
- Extension sets available for continuous or bolus feeding, as clinically directed.
Key features
- Weighted jejunal portion to help maintain jejunal placement.
- Multiple jejunal exit ports for distribution.
- Radiopaque stripe for imaging visibility.
- Tapered distal tip to aid placement.
- Clearly marked gastric and jejunal ports.
Materials and regulatory information
- Medical-grade silicone; latex-free.
- Sterile (gamma sterilized).
- Single-use; prescription device (Rx only).
Ports and functions
- JEJUNAL port: for post-pyloric feeding.
- GASTRIC port: for decompression/drainage via low intermittent suction or gravity, as ordered.
- BAL port: for inflation/deflation of the internal balloon.
Sizes and options
- French sizes: 14, 16, 18, 22 Fr.
- Jejunal lengths: 15, 22, 30, 45 cm (availability may vary by diameter).
- Stoma length options: approximately 1.0 to 7.0 cm (availability varies by model).
Clinical handling considerations
- Placed through an existing gastrostomy with the distal tip positioned in the jejunum.
- Do not rotate G‑J tubes due to displacement risk; if movement is necessary, move very gently in and out about 1 cm.
- Maintain patency with regular sterile‑water flushes (before/after feeds and medications and periodically during continuous feeding) using a push‑pause technique.
- Jejunal feeds are typically delivered slowly by continuous infusion using an enteral feeding pump; follow local protocols and clinician direction.